Individual
PATRICIA WHITEHEAD GOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1651 ROCK PRAIRIE RD, #102, COLLEGE STATION, TX 77845-8652
(979) 693-7400
(979) 693-7446
Mailing address
1500 UNIVERSITY DR E, #100, COLLEGE STATION, TX 77840-2600
(979) 846-1100
(979) 260-9390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H2407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275726853
CS CLINIC NPI
TX
01
—
1821185299
BVCAA NPI
TX
05
—
187842301
—
TX
01
—
741715140
TAX ID
TX
Enumeration date
05/05/2009
Last updated
07/10/2013
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